| NPI | 1629365119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0056558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34.011812) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2021-11-03 |